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Why is so much of doctor-patient communication, records etc STILL stuck in the 20th century?

The Drew @ 4 months ago

Comments (47)

26e82c69bac3abe48cfce8aae262fda8

Actual question, not rhetorical.

The Drew @ 4 months ago

Korea Town, New York, NY 10001

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Is this something the lawyers have fcked up and docs worried about discovery etc?

The Drew @ 4 months ago

Korea Town, New York, NY 10001

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No.

Tjaden Froyda @ 4 months ago

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I got a lot to say on this one... AMAA.

Tjaden Froyda @ 4 months ago

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26e82c69bac3abe48cfce8aae262fda8

Are we dealing with too many 'delicate geniuses' that can't be arsed to do a scan or two?

The Drew @ 4 months ago

Korea Town, New York, NY 10001

26e82c69bac3abe48cfce8aae262fda8

Is this something the politicians have fcked up (and we go back to the lawyers again)

The Drew @ 4 months ago

Korea Town, New York, NY 10001

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Scan or two? Talking about CT scan?

Tjaden Froyda @ 4 months ago

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No like scan a piece of paper...

The Drew @ 4 months ago

Korea Town, New York, NY 10001

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That's an individual office/hospital issue. We still live with fax machines. :(

Tjaden Froyda @ 4 months ago

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Drew - Obama tried to incentivizes modernization of record systems (HITECH act). It has been fought every step of the way.

Tjaden Froyda @ 4 months ago

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It's perhaps an individual issue but ... But other industries don't seem to be so, so laggard. Getting your own medical records sent to you is like pulling teeth sometimes.

The Drew @ 4 months ago

Korea Town, New York, NY 10001

26e82c69bac3abe48cfce8aae262fda8

Did we have to pass a law to incentivize real estate agents to modernize?

The Drew @ 4 months ago

Korea Town, New York, NY 10001

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There's a business incentive for them to make sure your health data flow slower than molasses. Makes it tougher for you to leave them.

Tjaden Froyda @ 4 months ago

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Yeah it's like the optometrist crooks that gave ya private label contact lenses so it *looks* like can't get them elsewhere.

The Drew @ 4 months ago

Korea Town, New York, NY 10001

5f13389fd6ea4b6de49bacec84ed7d8f

Last time in the hospital I told them I wanted copies of the blood work. They acted like i was asking for state secrets. I told them if I didnt receive a copy, i wasn't paying for it. Amazing how free they got with information after that.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

26e82c69bac3abe48cfce8aae262fda8

And then you got the docs that change to that concierge model and then try to hold med records hostage for patients that have to switch...

The Drew @ 4 months ago

Korea Town, New York, NY 10001

5f13389fd6ea4b6de49bacec84ed7d8f

My discharge papers included my blood work. And a mini chart of my hourly vitals during my stay. I gave it to my primary doc three days later. He said he was still waiting for his copy.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

26e82c69bac3abe48cfce8aae262fda8

Well it's gotta be faxed one page every other day of course..

The Drew @ 4 months ago

Korea Town, New York, NY 10001

26e82c69bac3abe48cfce8aae262fda8

The delicate geniuses feel very entitled to patients' records.

The Drew @ 4 months ago

Korea Town, New York, NY 10001

5f13389fd6ea4b6de49bacec84ed7d8f

Drew,, My doc went the concierge route. For an old fart like myself it's not bad. I can understand why anyone would opt out. It ain't cheap. The annual physical is damn near worth the price of admission.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

26e82c69bac3abe48cfce8aae262fda8

https://youtu.be/1TsdXa_7kzs

The Drew @ 4 months ago

Korea Town, New York, NY 10001

5f13389fd6ea4b6de49bacec84ed7d8f

I spend about an hour with the nurse and another hour with the doc. Everything gets checked. Right down to your attitude about living, loving, eating, drinking, and family.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

26e82c69bac3abe48cfce8aae262fda8

I've got no problem with concierge, but they must know not everyone is going to come over for the ride.

The Drew @ 4 months ago

Korea Town, New York, NY 10001

5f13389fd6ea4b6de49bacec84ed7d8f

Add to that the fact that I haven't even sat down in his waiting room in over five years. I have his cell number. And he expects me to use it.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

26e82c69bac3abe48cfce8aae262fda8

Yeah I know it's pretty good for the ancients

The Drew @ 4 months ago

Korea Town, New York, NY 10001

B35527b232c45def78db4f6949419182

@Drew - of course they feel entitled to the record. They own the record* HIPAA forces them to let you see a copy of it. That's also why they can charge you copying fees.

Tjaden Froyda @ 4 months ago

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New York law let's them charge up to $0.75/page for that privilege.

Tjaden Froyda @ 4 months ago

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Concierge is nice, but doesn't work well for large #s of patients. Not enough docs.

Tjaden Froyda @ 4 months ago

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I'm a huge fan of something called OpenNotes. Lots of resistance to that, too.

Tjaden Froyda @ 4 months ago

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The Resistance

The Drew @ 4 months ago

Yorkville, New York, NY

26e82c69bac3abe48cfce8aae262fda8

I wish there were more Skål docs though... O well.

The Drew @ 4 months ago

Yorkville, New York, NY

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Awwww shucks

Tjaden Froyda @ 4 months ago

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Let me wander off topic a little. A nurse at the hospital said that the ACA was partially responsible for the opiod crisis. She said that the satisfaction reports caused docs to over prescribe to

jc @ 4 months ago

Yellow Springs, OH 45387, USA

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get good pain control surveys.

jc @ 4 months ago

Yellow Springs, OH 45387, USA

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That's been going on much longer than ACA.

Tjaden Froyda @ 4 months ago

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That seems like a fishy thing to blame on Aca although I guess it could have exacerbated it.. No clue

The Drew @ 4 months ago

Yorkville, New York, NY

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Opioid crisis is so many more years in the making though

The Drew @ 4 months ago

Yorkville, New York, NY

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She made the statement after we watched a news story identifying a local county as number one in the country for OD deaths. We're number one!

jc @ 4 months ago

Yellow Springs, OH 45387, USA

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http://observer.com/2016/05/the-opioid-epidemic-its-time-to-place-blame-where-it-belongs/

Tjaden Froyda @ 4 months ago

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iatrogenesis

The Drew @ 4 months ago

Yorkville, New York, NY

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Yep Drew. Always. Anyways, the process and how/why medicine has resisted computerization has been interesting since HITECH.

Tjaden Froyda @ 4 months ago

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"Medicine" or.... "US Medicine"?

The Drew @ 4 months ago

Yorkville, New York, NY

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(Although the benefit I guess is we are less vulnerable to the kinda thing that brought down NHS.... Hackers targeting that was extremely messed up)

The Drew @ 4 months ago

Yorkville, New York, NY

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the NHS is the world's largest purchaser of fax machines...

Tjaden Froyda @ 4 months ago

Northwestern Precinct, Saint Paul, MN

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HITECH is only US though

Tjaden Froyda @ 4 months ago

Northwestern Precinct, Saint Paul, MN

26e82c69bac3abe48cfce8aae262fda8

So it is medicine in general, oy yoy yoy.

The Drew @ 4 months ago

Yorkville, New York, NY

B35527b232c45def78db4f6949419182

documentation on computers takes a lot longer. a huge part of the problem.

Tjaden Froyda @ 4 months ago

Maple Grove, MN, USA

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